Organization
FARMINGDALE PODIATRY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK EISENSTEIN DPM (OWNER)
(516) 420-4031
Entity
Organization
Contact information
Practice address
308 MAIN ST, FARMINGDALE, NY 11735-3507
(516) 420-4031
(516) 420-4032
Mailing address
308 MAIN ST, FARMINGDALE, NY 11735-3507
(516) 420-4031
(516) 420-4032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
06/19/2008
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